STACY DRUIVENGA (NPI# 1831660182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831660182 |
| Entity Type | Individual |
| Full Name | STACY DRUIVENGA |
| Credential | RCP |
| Practice Address |
1600 Eureka Rd Roseville CA 95661-3027 |
| Mailing Address |
1617 Red Squirrel St Roseville CA 95747-4637 |
| Practice Telephone | 9164747777 |
| Mailing Telephone | 9168067094 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2278P3900X |
Respiratory Therapist, Certified Specialization: Neonatal/Pediatrics |
25030 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RESPIRATORY | 25030 | 01 |
| Street Address |
1600 EUREKA RD |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851393524 | Lianna Marie Edwards | Nurse Practitioner | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2005-08-12 |
| 1659983138 | Armaan Sahota | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-08-17 |
| 1356953970 | Jenny Ear | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-08-17 |
| 1447868773 | Courtney L Kerstetter | Physical Therapist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-07-22 |
| 1982221321 | Diane Leszczynski | Dietitian, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-07-01 |
| 1114554409 | Ascension Thiele-ruiz | Registered Nurse | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-03-25 |
| 1184264582 | Amandeep Singh Raikhy | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2020-01-14 |
| 1508405481 | Mung Huynh | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-12-25 |
| 1063059319 | Cecille Truong | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-12-05 |
| 1952943748 | Kayli Scanlon | Dietitian, Registered | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2019-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 2278P3900X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| Specialization | Neonatal/Pediatrics |
| The care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093287690 | Monica Grace Arbizo | Respiratory Therapist, Certified | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2018-12-19 |
| 1841761350 | Michael David Staahl | Respiratory Therapist, Certified | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2018-12-09 |
| 1861534273 | Lisa Jenson | Respiratory Therapist, Certified | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2007-02-13 |
| 1639211048 | Summer Johnson | Respiratory Therapist, Certified | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1689138380 | Carmencita U Delacruz | Respiratory Therapist, Certified | 2916 Rebecca Dr, Fairfield, CA 94533-7035 | 2019-01-27 |
| 1003390253 | Julio Garcia | Respiratory Therapist, Certified | 395 W Mountain Holly Ave, Orange, CA 92865-5003 | 2018-09-23 |
| 1801395918 | Abubakr M Khalifa | Respiratory Therapist, Certified | 4600 W Avenue K10, Lancaster, CA 93536-5071 | 2018-02-04 |
| 1134437486 | William Marlow | Respiratory Therapist, Certified | 17519 Strathern St, Northridge, CA 91325-4351 | 2010-09-21 |
| 1083868475 | Suzanne Andrews | Respiratory Therapist, Certified | 159 Waverley St, Palo Alto, CA 94301-1140 | 2008-11-11 |
| 1003068198 | Sandra Caldwell | Respiratory Therapist, Certified | 71 Foss Dr, Redwood City, CA 94062-3027 | 2008-10-21 |
| 1053534560 | Michael Kent Cravens | Respiratory Therapist, Certified | 3101 Sillect Ave Ste 107, Bakersfield, CA 93308-6348 | 2007-04-11 |
| 1447874268 | Mihai Zaiat | Respiratory Therapist, Certified | 7300 Medical Center Dr, West Hills, CA 91307-1902 | 2020-06-08 |
| 1306400734 | Shawn Frederick Frazier | Respiratory Therapist, Certified | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 | 2019-05-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.